Intrinsic Capacity Assessment by a Mobile Geriatric Team During the Covid-19 Pandemic.

Intrinsic Capacity Assessment by a Mobile Geriatric Team During the Covid-19 Pandemic.
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DOI:
10.3389/fmed.2021.664681
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发表时间:
2021
影响因子:
3.9
通讯作者:
De Breucker S
De Breucker S
中科院分区:
医学3区
文献类型:
--
作者:
Angioni D;Nicolay C;Vandergheynst F;Baré R;Cesari M;De Breucker S

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2020年秋,第二波新冠肺炎大流行席卷欧洲。在这种情况下,由于老年COVID病房的床位数量不足,非老年病房面临着大量老年患者的入院。在这篇透视文章中,我们描述了流动老年团队在新冠肺炎大流行框架中的作用,特别是它如何通过实施一种新的方法--系统地评估和优化固有能力功能--帮助其他专家管理住院的老年患者。通过该咨询小组的评估,为每个患者制定了个体化护理计划,包括预期的临终决策过程。护理强度通常不是通过考虑实际年龄,而是通过考虑合并症负担、虚弱状况和患者的意愿来说明的。需要进一步的研究来确定这种流动老年团队方法在新冠肺炎老年患者的死亡率、住院时间、或功能、心理和认知结果方面是否有益。
In the autumn of 2020, the second wave of the COVID-19 pandemic hit Europe. In this context, because of the insufficient number of beds in geriatric COVID units, non-geriatric wards were confronted with a significant number of admissions of geriatric patients. In this perspective article, we describe the role of a mobile geriatric team in the framework of the COVID-19 pandemic and specifically how it assisted other specialists in the management of hospitalized geriatric patients by implementing a new approach: the systematic assessment and optimization of Intrinsic Capacity functions. For each patient, assessed by this consultative team, an individualized care plan, including an anticipated end-of-life decision-making process, was established. Intensity of care was most often not stated by considering chronological age but rather the comorbidity burden, the frailty status, and the patient's wishes. Further studies are needed to determine if this mobile geriatric team approach was beneficial in terms of mortality, length of stay, or functional, psychological, and cognitive outcomes in COVID-19 geriatric patients.
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